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针对成人维生素D缺乏症的查:美国预防服务工作组的最新证据报告和系统审查
Leila C Kahwati1,2, Erin LeBlanc3, Rachel Palmieri Weber1,4
1RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center, Chapel Hill, North Carolina.
在成年人中对维生素D缺乏的查没有显示直接的益处或危害. 维生素D治疗没有显著影响社区居民的死亡率,骨折,跌倒或其他主要健康结果.
科学领域:
- 内分泌学
- 预防医学
- 公共卫生
背景情况:
- 低血清维生素D水平与不良健康结果有关.
- 鉴定和治疗维生素D缺乏可能会改善临床结果.
研究的目的:
- 系统地审查有关成人维生素D缺乏症查的现有证据.
- 评估维生素D治疗低水平患者的有效性.
主要方法:
- 在主要数据库 (PubMed,EMBASE,Cochrane Library) 和试验注册表中进行了全面的文献搜索.
- 包括公平或优质的随机临床试验 (RCT) 和非随机控制干预研究.
- 数据提取和质量评估由两位独立审查员进行,并酌情进行元分析.
主要成果:
- 没有研究直接评估查维生素D缺乏的益处或危害.
- 在社区成年人中,维生素D治疗与死亡率,骨折,跌倒,糖尿病,心血管疾病,癌症或抑郁症没有显著关联.
- 关于维生素D对身体功能和感染的影响的证据是混合的或有限的,治疗和对照组之间的不良事件和结石的发生率相似.
结论:
- 目前的证据不支持查维生素D缺乏的直接健康益处或危害.
- 在缺乏维生素D的无症状社区成年人中,治疗似乎没有改善主要的健康结果或增加不良事件.
- 需要进一步研究以澄清维生素D补充对身体功能和感染率的影响.
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